We asked Lesley Regan, professor of obstetrics and gynaecology at St Mary’s NHS Trust in London, what questions she would ask if she was considering having a hysterectomy.
Should I be worried about having a hysterectomy?
Have as positive an attitude as you can about the surgery. Studies show that people who are more optimistic have a better outcome in the long run.
When will I be back on my feet?
Get mobile as quickly as you can after the operation. This will help you recover faster. Gentle exercise such as walking is fine.
How can I best prepare for a hysterectomy?
If you're overweight or obese, try to lose weight before you have surgery. It will make your recovery much easier if you're as close to your ideal weight as possible. Ask your GP or practice nurse for advice or referral to a dietitian. If you've tried to lose before, join a group and try again!
How will the procedure improve my life?
When you're talking to your gynaecologist, have a clear idea of what is the most important outcome you want from the operation (for example, if you don't want to have painful, heavy periods any more).
Do I have any options other than surgery?
Make sure you're satisfied that a hysterectomy is the right choice for you. It may be the best option, but be satisfied in your own mind and be prepared to ask enough questions. It’s a good idea to have these written on a piece of paper when you see your gynaecologist.
For instance, if you have heavy, painful periods, it might be a good idea to try the Mirena coil (a contraceptive device that contains the active ingredient levonorgestrel) first. The worst that can happen is that it won't work, and you can then consider different options, including a hysterectomy, if you wish.
Fibroids (benign growths in the womb) can be treated in some cases and at some centres locally. Where this isn't an option, you will feel more secure about the decision to have an operation if you have asked the right questions first.
